<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN"
   "http://www.w3.org/TR/html4/strict.dtd">
<HTML>
	<HEAD>
		<TITLE> My first form </TITLE>	
	<STYLE type = "text/css">
		td { text-align:right;font-weight:bold; font-family:Arial;}
	</STYLE>
	</HEAD>
	<BODY>
		<FORM method ="get" action = "http://www.google.com">
			<TABLE border = "1" width = "40%" cellspacing = "0">
				<tr>
					<td>Last Name</td>
					<td colspan = "3" style ="text-align:left"><input type = "text" name = "lastname" size = "50px" /></td>
				</tr>
				<tr>
					<td>First Name</td>
					<td colspan = "3" style ="text-align:left"><input type = "text" name = "firstname" size = "50px" /></td>
				</tr>
				<tr>
					<td >Address</td>
					<td colspan = "3" style ="text-align:left"><textarea name = "address" cols = "30" rows = "3" > </textarea></td>
				</tr>
				<tr>
					<td> City </td> 
					<td style ="text-align:left" > <input type = "text" name = "city" size = "32px"> </td>
					<td> State </td> 
					<td style ="text-align:left"> <input type = "text" name = "state" size = "5px"> </td>																								
				</tr>
				<tr>
					<td> Zip/Postal code </td> 
					<td style ="text-align:left" colspan = "3"> <input type = "text" name = "zip" size = "3px"> </td>					
				</tr>
				<tr>
					<td> Country </td> 
					<td style ="text-align:left" colspan = "3">  
						<select name="">
							<option value="BG">Bulgaria</option>
							<option value="EN">England</option>
							<option value="US">United States of America</option>
						</select>
					</td>					
				</tr>
				<tr>
					<td> Phone(country code, area code, number) </td> 
					<td style ="text-align:left;font-weight:normal;" colspan = "3"> 
						(+<input type = "text" name = "cCode" size = "3px">)
						<input type = "text" name = "aCode" size = "3px"> -
						<input type = "text" name = "number" size = "25px"> 
					</td>					
				</tr>
				<tr>
					<td>E-mail</td>
					<td colspan = "3" style ="text-align:left"><input type = "text" name = "eMail" size = "50px" /></td>
				</tr>
				<tr>
					<td> Birth date </td> 
					<td style ="text-align:left;font-weight:normal;" colspan = "3"> 
						Month<input type = "text" name = "cCode" size = "1px">
						Day<input type = "text" name = "aCode" size = "1px"> 
						Year(4 digit)<input type = "text" name = "number" size = "3px"> 
					</td>					
				</tr>
				<tr>
					<td> Gender </td> 
					<td style ="text-align:left" colspan = "3">  
						<select name="gender">
							<option value="m">male</option>
							<option value="f">female</option>							
						</select>
					</td>					
				</tr>
				<tr>
					<td>Starting date</td>
					<td colspan = "3" style ="text-align:left; font-weight:normal">
						<input type = "radio" name = "eMail" size = "10px" /> Spring 2006
						<input type = "radio" name = "eMail" size = "10px" /> Summer 2006
					</td>
				</tr>
				<tr>
					<td >Comments/Questions</td>
					<td colspan = "3" style ="text-align:left"><textarea name = "address" cols = "30" rows = "4" > </textarea></td>
				</tr>
				<tr bgcolor = "lightblue">
					<td colspan = "4" style="text-align:center">
						<input type = "submit" name = "Submit" value = "Submit"/>
						<input type = "reset" value = "Clear This Form"/>
					</td>
				</tr>
			</TABLE>
		</FORM>
	</BODY>
</HTML>